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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement
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Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement

机译：通过旨在预防和识别关节置换后的手术部位感染的自动遥测系统实现的患者参与和成本节约

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Background: We designed two telemonitoring text and voice messaging interventions, EpxDecolonization (EpxDecol) and EpxWound, to improve management of orthopedic joint replacement patients at Washington University. We reviewed the use of these tools for a period of 88 weeks. Methods: Cohorts of 1,392 and 1,753 participants completed EpxDecol and EpxWound, respectively. All patients who completed EpxDecol also completed EpxWound. We assessed patient use of and satisfaction with these interventions. A return on investment (ROI) analysis was conducted to determine the cost savings generated by EpxWound and EpxDecol. Results: The proportions of patients who responded daily to EpxDecol and EpxWound were 91.9% and 77.7%, respectively, over the lengths of each intervention. The percent of daily responders declined = 1,246) were 9/9 (best possible) for care, 8/9 for improved communication, and 5/9 (perfect number) for number of messages received. ROI analysis for this 88-week period showed that using EpxDecol and EpxWound to engage patients (instead of nurses calling patients) saved the equivalent of 2.275 full-time nursing equivalents per week. We calculated net savings of $260,348 with an ROI of 14.85 x for 1,753 patients over 88 weeks. One-year cost savings from these interventions were $153,800 with an ROI of 14.79 x. Conclusions: EpxDecol and EpxWound may serve important roles in the perioperative process for orthopedic joint reconstruction surgery given high patient usage of and satisfaction with these interventions. Implementing EpxDecol and EpxWound for a large patient population could yield substantial cost savings and ROI.
机译：背景：我们设计了两种远程文本和语音消息干预，EPXD​​ecolonization（EPXDECOL）和EPXWOUND，以改善华盛顿大学骨科联合置换患者的管理。我们审查了这些工具的使用时间为88周。方法：队列1,392和1,753名参与者分别完成了EPXDECOL和EPXWOUND。所有完成EPXDECOL的患者也完成了EPXWOUND。我们评估了这些干预措施的患者使用和满足。进行了投资回报（ROI）分析，以确定EPXWOUND和EPXDECOL产生的成本节约。结果：每天回应EPXDECOL和EPXWOUND的患者的比例分别在每种干预的长度上分别为91.9％和77.7％。每日响应者的百分比下降= 1,246）为9/9（最佳）的护理，8/9，用于改进的沟通，5/9（完美数字）收到的消息数。这88周的ROI分析表明，使用EPXDECOL和EPXWOUN在患者（而不是护士呼叫患者），每周保存相当于2.275的全职护理当量。我们计算了260,348美元的净节约，ROI为1,753名患者，超过88周。这些干预措施的一年成本节省为153,800美元，ROI为14.79 x。结论：EPXDECOL和EPXWOUND在骨科联合重建手术的围手术期过程中可能提供重要作用，鉴于这些干预措施的高患者使用和满意度。为大型患者人口实施EPXDECOL和EPXWOUNT可以产生大量成本节约和投资回报率。

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